Provider Demographics
NPI:1851094585
Name:CHOWDHRY, SHERRY ANNE (MED, CCTS)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:ANNE
Last Name:CHOWDHRY
Suffix:
Gender:F
Credentials:MED, CCTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 CHESTERFIELD DR
Mailing Address - Street 2:
Mailing Address - City:SARVER
Mailing Address - State:PA
Mailing Address - Zip Code:16055-8423
Mailing Address - Country:US
Mailing Address - Phone:412-965-0975
Mailing Address - Fax:
Practice Address - Street 1:117 S PIKE RD STE 202
Practice Address - Street 2:
Practice Address - City:SARVER
Practice Address - State:PA
Practice Address - Zip Code:16055-9298
Practice Address - Country:US
Practice Address - Phone:724-712-9449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YS0200X
PA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool